Blunt traumatic mammary hematoma as part of a seatbelt syndrome

Clinical History

Imaging Findings

A 50-year-old female sustained a seatbelt injury in a high-speed traffic accident. Clinical presentation included a hematoma in her right breast. Figure 1 shows the mammographic findings.

Discussion

The hematoma in the right breast is demonstrated on mammography as a large mass. Seatbelt syndrome includes thoracic injuries resulting from the deceleration against the seatbelt. Clinical features of this syndrome include mammary hematomas, clavicle fractures, rib fractures and flail chest, sternal fractures, bilateral lung lesions, cardiac injuries, aortic injuries, liver and spleen lesions and thoracic spine fractures.

Blunt traumatic mammary hematoma - Blunt traumatic mammary hematoma displayed by ultrasonography, which displays blood clots within the collection as well as the echo patterns of a 12F-drain (arrows) (From Wintermark...